He is 50 and yes, the primary is unknown. They did several biopsies in surgery, but were not able to find it. He had a PEG tube put in the day before we started chemo. He smoked for a few years, but that was about 25 years ago and drinks the occassional beer, but not daily by any means. He is taking compazine (sp) and adavan and just started on ensure....was very happy with that this morning. He was able to drink it. The doctor said he is stage 3, he had an enlarged lymph node in his neck that we thankfully had checked! The doctor first said give it a few months and see if it goes down, but after a few weeks we didn't feel comfortable waiting any longer. I guess the worst part so far is the increasing discomfort he is in and knowing it is going to get worse for many more weeks. He is going to ask about the "magic" mouthwash today and is going to be getting more fluids today at his check-up. Thanks for your help, I am so glad to have found this forum!!!!